Dentists on Bulverde, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS ON BULVERDE, PC

Doing business as

Dentists on Bulverde

Practice address

17411 Classen Road, Suite 102
San Antonio, TX 78247

Phone

(210) 401-4384

Fax

(210) 417-4098

NPI assigned

Aug 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Collette Alisabeth Edwards, DDS

Title

Owner

Phone

(210) 401-4384

Specialties & licenses 1

Addresses

Other names 1

• Dentists on Bulverde Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1710801873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17411 CLASSEN ROAD, SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78247",
            "telephone_number": "210-401-4384",
            "fax_number": "210-417-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS ON BULVERDE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_middle_name": "ALISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-401-4384",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists on Bulverde",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.